Association between the HMGB1/TLR4 signaling pathway and the clinicopathological features of ovarian cancer

In the present study, the expression levels of high-mobility group protein B1 (HMGB1), Toll-like receptor 4 (TLR4), nuclear factor (NF)-kappa B and tumor necrosis factor (TNF)-alpha in malignant epithelial ovarian cancer (MEOC) were investigated in regards to several clinicopathological characteristics. A total of 20 patients with MEOC who underwent surgery were recruited in the present study. The mRNA and protein expression of HMGB1, TLR4, NF-kappa B and TNF-alpha was determined in patients with MEOC and compared with expression levels in 20 patients diagnosed with benign ovarian cysts (BOC). It was demonstrated that the mRNA and protein expression of HMGB1, TLR4, NF-kappa B and TNT-alpha in MEOC was significantly increased, compared with the BOC group (P<0.01). The gene and protein expression of HMGB1, TLR4, NF-kappa B and TNF-alpha was significantly increased in the advanced tumor stage and poorly differentiated group (P<0.01). The present study suggested that the HMGB1/TLR4 signaling pathway was overactive in MEOC, and was associated with MEOC tumor cell proliferation, invasion and metastasis. Furthermore, this may have been mediated via NF-kappa B signaling.